Individual
LANA MARIE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
107 SOUTHERN BLVD, SAVANNAH, GA 31405-7437
(912) 350-8381
Mailing address
107 SOUTHERN BLVD STE 203, SAVANNAH, GA 31405-7435
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN197351
GA
Other
Enumeration date
07/16/2019
Last updated
08/16/2021
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